3. 19 In an experiment, thrombus formation is studied in
areas of vascular damage. After a thrombus forms in an
area of vascular injury, the propagation of the thrombus
to normal arteries is prevented. Researchers identify a
substance that diminishes thrombus propagation by
binding to thrombin, converting it from a procoagulant to
an anticoagulant that activates protein C. Which of the
following substances is most likely to produce this effect?
□ (A) Calcium
□ (B) Fibrin
□ (C) Platelet factor 4
□ (D) Prothrombin
□ (E) Thrombomodulin
□ (F) Tumor necrosis factor
4.
5.
6.
7.
8. 24 A 78-year-old woman falls in the bathtub and
strikes the back of her head. Over the next 24
hours, she becomes increasingly somnolent. A
head CT scan shows an accumulation of fluid
beneath the dura, compressing the left cerebral
hemisphere. Which of the following terms best
describes this collection of fluid?
□ (A) Hematoma
□ (B) Purpura
□ (C) Congestion
□ (D) Petechia
□ (E) Ecchymosis
16. 32 A 23-year-old woman with an uncomplicated
pregnancy develops sudden dyspnea with cyanosis and
hypotension during routine vaginal delivery of a term
infant. She has a generalized seizure and becomes
comatose. Her condition does not improve over the next
2 days. Which of the following findings is most likely to
be present in the peripheral pulmonary arteries?
□ (A) Aggregates of red blood cells
□ (B) Amniotic fluid
□ (C) Fat globules
□ (D) Gas bubbles
□ (E) Thromboemboli